Pain coping profiles in adolescents with chronic pain.
This study sought to evaluate the extent to which the pain coping profiles observed by Walker and colleagues in a sample of patients with chronic abdominal pain also were evident in a sample of adolescent patients who presented to a tertiary care clinic for evaluation of a variety of diverse pain conditions. In addition, we aimed to evaluate the relation of these pain coping profiles to patients' emotional and physical functioning. Participants (n=254) were adolescent patients aged 12-17 years. Patients completed the Pain Response Inventory (PRI) as well as measures of pain, somatic symptoms, anxiety and depressive symptoms, and functional disability. Using the PRI classification algorithm developed by Walker and colleagues, we successfully classified all the patients in our sample. We also found that the pain coping profiles successfully differentiated among patients with different levels of symptoms, disability, and emotional distress, further demonstrating the external validity of these profiles. Results have implications for tailoring pain treatment interventions to patients' particular coping profiles.
Claar
Robyn Lewis
RL
Pain Treatment Service, Children's Hospital Boston, Harvard Medical School, 333 Longwood Avenue, Boston, MA 02115, USA Department of Psychology and Human Development, Peabody College, Vanderbilt University, 230 Appleton Place #552 Nashville, TN 37203, USA Division of Adolescent Medicine and Behavioral Sciences, Vanderbilt University Medical Center, 2200 Children's Way, Suite 11128 Nashville, TN 37232-9060, USA.
Baber
Kari Freeman
KF
Simons
Laura E
LE
Logan
Deirdre E
DE
Walker
Lynn S
LS
D000223:Adaptation, Psychological; D000293:Adolescent; D000294:Adolescent Behavior; D000296:Adolescent Psychiatry / Q000706:statistics & numerical data*; D002648:Child; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D010146:Pain / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology*; D010147:Pain Measurement / Q000706:statistics & numerical data*; D013714:Tennessee / Q000453:epidemiology